Final answer:
The need for a bony procedure in the foot is determined by the severity of conditions such as bunions and metatarsalgia, the type of injury or deformity, arthritis, and the level of pain or disability experienced by the patient.
Step-by-step explanation:
The main determinant of whether a bony procedure is needed in the foot involves the specific condition and how it affects the structure and function of the foot. For example, conditions like bunions, which are localized swellings on the medial side of the foot, may require a bony procedure if they lead to significant discomfort or functional impairment. The type of shoe most likely to cause this is a narrow, high-heeled shoe which places increased pressure on the medial side of the foot. Similarly, metatarsalgia, a condition related to the metatarsals, entails pain in the metatarsal region of the foot, which could sometimes warrant a bony intervention depending on severity and causative factors .Other factors that determine the need for a bony procedure include the extent of the injury or deformity, the presence of arthritis, and the level of pain or disability a patient is experiencing. Weight-bearing bones like the tarsal bones, which are positioned in the proximal, intermediate, and distal groups, may also require surgical intervention if they are fractured or have developed arthritis. High heels can also cause stress fractures, mirroring the repetitive stress injury process described for the metatarsals.